Lewis, Lisa
Lewis, Lisa is an sole proprietor health care provider with primary practice located at 118 Pearl Ave N , Douglas GA 31533. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lewis, Lisa can be contacted via phone (912) 331-0846.Contact Information
Primary practice address
118 Pearl Ave N
Douglas GA 31533
Phone: (912) 331-0846
Fax: (678) 792-4894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP010109 | Georgia |
Profile Details
| NPI number | 1023532124 |
|---|---|
| LBN Legal business name | Lewis, Lisa |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jun 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023532124 | NPPES |
| Georgia | Other | SLP010109 | SPEECH LANGUAGE PATHOLOGIST |
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